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Posted (edited)
4 hours ago, polpott said:

Its not used to diagnose cancer. Its just an indicator. DRE followed by biopsy is used for diagnosis, often followed by MRI/CT scan.

Biopsies apparently aren't as accurate as once believed. They tend to be quite hit and miss.  

Edited by GarryP
Posted (edited)
3 hours ago, xtrnuno41 said:

Well you have to be rich, as a dose cost $140, but then even: 

  • injection site reactions (mild/moderate pain, irritation, or slight bleeding),
  • unusual discharge from your penis,
  • pain in your penis/urethra/testicles,
  • headache,
  • dizziness,
  • back pain,
  • a rash on the skin of your penis,
  • itching/warmth/numbness of your penis,

I get it for free and have been for the last 10 years. Occasionally get the first symptom if my aim is a bit off. Never had any of the other symptoms. Retail in UK is around £20 (800 baht).

 

 

Edited by polpott
  • Like 1
Posted
1 hour ago, GarryP said:

Biopsies apparently aren't as accurate as once believed. They tend to be quite hit and miss.  

Nope. Biopsy taken at ten sites along the prostate. Very accurate.

Posted (edited)

I contacted one of the Bangkok clinics mentioned in this thread today.

This is what they sent back -

 

psa-1,050

free testosterone - 1,850

Testosterone- 900

LH- 850

FSH- 850

ESTRADIOL - 850

 

So 6,350 baht for those 6 tests or about 160 pounds - seems pricey.

 

I also checked a clinic in Pattaya which advertises this on their web page.

Eight tests for 4,900 or about 120 pounds - a lot better value.

 

I think I'll wait until my knee checkup at the Army hospital next month and ask to be referred to endocrinology.  There's bound to be a lot of testosterone tests done in an Army!

 

 

 

TRT Patts.JPG

Edited by Mister Fixit
Posted
On 3/26/2021 at 1:38 PM, polpott said:

Omeprazole is not a one time drug. You need to take it daily for at least 2 weeks for it to work. Gaviscon dual action is probably better.

Der, it was meant as a joke, not medical advice!  ????

Posted
On 3/26/2021 at 8:33 PM, Mister Fixit said:

I contacted one of the Bangkok clinics mentioned in this thread today.

This is what they sent back -

 

psa-1,050

free testosterone - 1,850

Testosterone- 900

LH- 850

FSH- 850

ESTRADIOL - 850

 

So 6,350 baht for those 6 tests or about 160 pounds - seems pricey.

 

I also checked a clinic in Pattaya which advertises this on their web page.

Eight tests for 4,900 or about 120 pounds - a lot better value.

 

I think I'll wait until my knee checkup at the Army hospital next month and ask to be referred to endocrinology.  There's bound to be a lot of testosterone tests done in an Army!

 

 

EDIT - further to my post above, I asked them how much for testing Oestrogen - 850 baht.

 

So a new total of -

PSA-1,050

Free testosterone - 1,850

Testosterone- 900

LH- 850

FSH- 850

ESTRADIOL - 850

Oestrogen - 850

Grand total = 7,200 baht or about £180 where I come from.  I'll be shopping around.

 

I will certainly be trying the Army hospital when I go for a knee checkup next month, but in the meantime, it has been suggested that I try Vachira hospital on Samsen Road, a Government hospital with a good reputation.  Unfortunately their website does not seem to list what departments they have.

Does anyone have any experience of the place?

 

 

Posted (edited)

Well, gents, a sad and sorry tale to report.  Last night, when the niece who stays with us had gone back home, we tried our luck.  I took the same dose as last time - one Kamagra gel and half a Kamagra tablet.

 

There was plenty of foreplay and we were raring to go but for some reason, it didn't work as well as last time.  I can always feel when it's going to fail but I can't define it.   All started well but after a few minutes I started to feel hot (a sure sign) so put the aircon on max and the fan on double speed.  Started again after some manual help.  Again, another  flop after a few minutes.  More help from a patient wife but I know when there's no point in carrying on so just gave up.  I did reward the wife by other means for her patience though!  ???? 

 

I have identified a few factors which I believe contribute to the problems.  If we are mature enough for a discussion between adults and no schoolboy remarks, here we go.

  1. Sometimes during sex, I start to feel hot for no reason I can fathom, and that's normally a sign things will fail.  We do need to plan sex so that I can take Kamagra or whatever a few hours in advance to be sure it will be working.
    Also, since the niece moved in, we have to plan for when she goes out with a friend.  If she's there, I find it awkward.  We have had sex when the niece is downstairs but I'm a bit conscious of her being there.
    She's 24, a bit slow and dim and very reclusive, both with us or when at the family home.  She rarely speaks or smiles and words have to be dragged from her.  My wife just says to ignore her and if the headboard bangs the wall, so what?
  2. Last night was the first night after she finished her period and she says she always feels 'tight' at those times.  I suspect drier than usual too, after up to a week off.
  3. My wife is 52 in July (but looks 10 years younger) so is menopausal and her libido was never high.  She was never a ball of fire at initiating (fairly typical middle aged traditional Thai woman, not done to talk openly about sex) and is a slow burner, hence the lengthy foreplay, but always enjoys sex and will never refuse unless it's shark week.
    That also means that the menopausal symptoms are there - dryness in particular but I can always solve that problem.    Low libido is probably a factor though.  I may have to consider her getting HRT because she has other symptoms as well, such as forgetfulness and sometimes mood swings.
  4. There seems to be something she does in the way she holds her body.  I can't pinpoint it, but if she moves in a certain position, I lose all feeling.  It's as though the friction disappears.  Can't put my finger on it.  We always try a number of positions, but once that happens, it's gone and only returns to fruition about 50% of the time.

My wife is always very understanding and will continue helping me, so I am very lucky.  I just wish things weren't so hit and miss.

 

 

Edited by Mister Fixit
  • Like 1
Posted
On 3/25/2021 at 4:34 PM, xtrnuno41 said:

You dont know the story about viagra? They were developing and testing for veins, blood circulation.

Then the tested men (maybe also women) didnt want to return the pills.

We all know why now they didnt want to return, it works for widening veins in your whole body.

It is doing its work. The side effect, was a pleasant one.

But sure it works for your whole blood system.

Indeed Pfizer were testing sildenafil (the drug in Viagra) on the veins and arteries of old folk to see if they could improve blood flow and also if it would have any effect on dementia and the like.

 

Of course they never realised that sildenafil could have other effects, and the "story" goes that there were guys walking around in old folks homes, with erections, but not remembering what to do with them!

  • Haha 1
Posted (edited)

I have just had a quote from another Bangkok testing clinic - 

 

Free Testosterone (Total Testosterone+SHBG+Free)  2,500 baht  

Estradiol  450 baht

Growth Hormone 1,200 baht

FSH  400  baht

LH   400  baht

Progesterone 450  baht

Cortisol 350 baht

 

No mention of PSA.  5,750 baht for that lot, or about £145 where I come from.  

A little cheaper than the first place I quoted.  

 

Edited by Mister Fixit
Posted
4 minutes ago, xylophone said:

Indeed Pfizer were testing sildenafil (the drug in Viagra) on the veins and arteries of old folk to see if they could improve blood flow and also if it would have any effect on dementia and the like.

 

Of course they never realised that sildenafil could have other effects, and the "story" goes that there were guys walking around in old folks homes, with erections, but not remembering what to do with them!

 

Yes, one of my old students is the Bangkok regional sales manager for Pfizer and he told me that story.

  • Like 1
Posted
On 3/26/2021 at 8:14 PM, polpott said:

Nope. Biopsy taken at ten sites along the prostate. Very accurate.

30-40% false negative results from prostate biopsy. 

Posted
4 hours ago, Mister Fixit said:

Well, gents, a sad and sorry tale to report.  Last night, when the niece who stays with us had gone back home, we tried our luck.  I took the same dose as last time - one Kamagra gel and half a Kamagra tablet.

 

There was plenty of foreplay and we were raring to go but for some reason, it didn't work as well as last time.  I can always feel when it's going to fail but I can't define it.   All started well but after a few minutes I started to feel hot (a sure sign) so put the aircon on max and the fan on double speed.  Started again after some manual help.  Again, another  flop after a few minutes.  More help from a patient wife but I know when there's no point in carrying on so just gave up.  I did reward the wife by other means for her patience though!  ???? 

 

I have identified a few factors which I believe contribute to the problems.  If we are mature enough for a discussion between adults and no schoolboy remarks, here we go.

  1. Sometimes during sex, I start to feel hot for no reason I can fathom, and that's normally a sign things will fail.  We do need to plan sex so that I can take Kamagra or whatever a few hours in advance to be sure it will be working.
    Also, since the niece moved in, we have to plan for when she goes out with a friend.  If she's there, I find it awkward.  We have had sex when the niece is downstairs but I'm a bit conscious of her being there.
    She's 24, a bit slow and dim and very reclusive, both with us or when at the family home.  She rarely speaks or smiles and words have to be dragged from her.  My wife just says to ignore her and if the headboard bangs the wall, so what?
  2. Last night was the first night after she finished her period and she says she always feels 'tight' at those times.  I suspect drier than usual too, after up to a week off.
  3. My wife is 52 in July (but looks 10 years younger) so is menopausal and her libido was never high.  She was never a ball of fire at initiating (fairly typical middle aged traditional Thai woman, not done to talk openly about sex) and is a slow burner, hence the lengthy foreplay, but always enjoys sex and will never refuse unless it's shark week.
    That also means that the menopausal symptoms are there - dryness in particular but I can always solve that problem.    Low libido is probably a factor though.  I may have to consider her getting HRT because she has other symptoms as well, such as forgetfulness and sometimes mood swings.
  4. There seems to be something she does in the way she holds her body.  I can't pinpoint it, but if she moves in a certain position, I lose all feeling.  It's as though the friction disappears.  Can't put my finger on it.  We always try a number of positions, but once that happens, it's gone and only returns to fruition about 50% of the time.

My wife is always very understanding and will continue helping me, so I am very lucky.  I just wish things weren't so hit and miss.

 

 

It looks like you are to busy with all and therefor your mind tells you, NO. It can also be in subconscious way.

You know you get hot doing it and then break it, to put on fan airco,  Do it before you start.

Yes , a woman can have it sometimes more open or more moisturized, so you lose touch. Specially when your dick is not like a round tree.

Then you shouldnt even think about that, as it will go wrong Just think horny, and dont think otherwise.

Subconscious is hard to beat, it is in your mind and you have to overcome it.

In a medical documentary about prostate cancer and qonseuences, i saw once:

There are other ways by surgery, you can have a stick in your dick, but then it is always stretched. Yeah you can bend it.

Otherwise there is a system you can pump it up with air and afterwards release the air again for normal way. 

 

 Your mind could be the enemy. 

When i was young, i gave blood, never a problem until i passed out one time, they were drawing too fast.

It took many years to give blood again "normal", even had to stop giving blood. It was set in my mind and couldnt do it anymore.

Even when having a sample, i already warned them and they lay me down which helped and didnt look.

From just a normal procedure to a complicated one, due to experience and mind setting. 

  • Like 1
Posted
2 hours ago, xtrnuno41 said:

It looks like you are to busy with all and therefor your mind tells you, NO. It can also be in subconscious way.

You know you get hot doing it and then break it, to put on fan airco,  Do it before you start.

Yes , a woman can have it sometimes more open or more moisturized, so you lose touch. Specially when your dick is not like a round tree.

Then you shouldnt even think about that, as it will go wrong Just think horny, and dont think otherwise.

Subconscious is hard to beat, it is in your mind and you have to overcome it.

In a medical documentary about prostate cancer and qonseuences, i saw once:

There are other ways by surgery, you can have a stick in your dick, but then it is always stretched. Yeah you can bend it.

Otherwise there is a system you can pump it up with air and afterwards release the air again for normal way. 

 

 Your mind could be the enemy. 

When i was young, i gave blood, never a problem until i passed out one time, they were drawing too fast.

It took many years to give blood again "normal", even had to stop giving blood. It was set in my mind and couldnt do it anymore.

Even when having a sample, i already warned them and they lay me down which helped and didnt look.

From just a normal procedure to a complicated one, due to experience and mind setting. 

It's called performance anxiety and it can induce/cause ED. In fact up to 20 percent of ED cases are of psychological origin. 

  • Like 1
Posted
On 3/26/2021 at 1:51 PM, polpott said:

Which is why you get side effects, visual distortion, headaches etc.

 

Cavaject stays in your dick and produces none of the side effects of Viagra. And boy does it work. You can hang your coat on it for 4 hours whether you want to or not.


Not for me.   

Posted
1 hour ago, Sticky Rice Balls said:

Need a trickle down system here--sharing is caring! ????

If you were a mate of mine I would be happy to, I have more than 100 doses in reserve. However, I had to visit an ED clinic where I was trained in the use of them before I could be proscribed them. On my first visit I was given the injection by a trained nurse and left in a room alone with my wife. 20 minutes later the nurse returned but nothing had happened. Left to go to an unrelated appointment at another hospital. During the journey on a rickety old bus, it suddenly happened. Very embarrassing sat in front of a female consultant with a massive erection!

 

At the end of the day I wouldn't advise anyone to use them unless they knew exactly what they were doing.

 

 

  • Haha 1
Posted (edited)
15 hours ago, xtrnuno41 said:

It looks like you are to busy with all and therefor your mind tells you, NO. It can also be in subconscious way.

You know you get hot doing it and then break it, to put on fan airco,  Do it before you start.

Yes , a woman can have it sometimes more open or more moisturized, so you lose touch. Specially when your dick is not like a round tree.

Then you shouldnt even think about that, as it will go wrong Just think horny, and dont think otherwise.

Subconscious is hard to beat, it is in your mind and you have to overcome it.

In a medical documentary about prostate cancer and qonseuences, i saw once:

There are other ways by surgery, you can have a stick in your dick, but then it is always stretched. Yeah you can bend it.

Otherwise there is a system you can pump it up with air and afterwards release the air again for normal way. 

 

 Your mind could be the enemy. 

When i was young, i gave blood, never a problem until i passed out one time, they were drawing too fast.

It took many years to give blood again "normal", even had to stop giving blood. It was set in my mind and couldnt do it anymore.

Even when having a sample, i already warned them and they lay me down which helped and didnt look.

From just a normal procedure to a complicated one, due to experience and mind setting. 

 

You are making far too many assumptions, but that's partly my fault because I didn't give enough information.  

1)  I am NOT 'too busy with all'.  Every night, I slow right down and start relaxing before bedtime.  I don't want to go to bed tense.  

 

2) You said 'You know you get hot doing it and then break it, to put on fan airco,  Do it before you start.'

  • There are two points to that, and the first is that 'you know you get hot'.  Yes, I do, but I don't know WHEN I will get hot.  It happens at some times, and doesn't happen at other times.  I can never say when.
  • Why do you assume I don't switch on the aircon and fan until we start having sex?  Of course I don't, because that would be stupid.  The house has concrete walls and they retain heat so the aircon needs to be on for a few hours beforehand.  
    My fault for not being clearer in my post, but this is what I do every single night - at about 6.30 to 7 pm, I close all the windows (I like them open during the day) and the curtains.  Then I switch on the aircon and set it to 'powerful' which is maximum fan speed.  Once it's reached the temperature I like it at (27 C) the fan reverts to normal speed and the temperature stabilises there.
    If we are going to have sex, I go into the bedroom 30 minutes before and set it to powerful again, just to cool the room a little more.  I also then switch on the floor fan.
  • If I start to feel hot during sex, it is THEN that I set the fan to powerful and that only takes a moment using the remote.  Only SOMETIMES do I get out of bed to set the fan to a faster speed.  That's not the cause of any erectile dysfunction.

As my wife is menopausal she is prone to vaginal dryness, but that is easily remedied, either orally or by using a lubricating gel, which we sometimes do if necessary.  

I don't get anxious about my performance before sex.  I never worry about if it will happen or not.  I do try to spend a long-ish time on foreplay because my wife is a slow burner as I have said in another post and it also makes me hornier. 

 

As to having a 'stick in my  dick', forget that, ain't nobody cutting my dick!  That's the last desperate measure of someone who can't accept aging.  I'd prefer to just do it once a month instead.  

I knew a quite unpleasant dirty old sexpat guy aged about 86, and he was going to go to India to have a plastic thing inserted into his dick which you could flick into erect mode or down to normal mode.  
He showed me all the details from the Indian hospital but luckily I talked him out of it.  

 

PS  I see you are from the Netherlands.  My mother was born in Middelburg and then moved to Eindhoven where my grandfather worked for Philips (who didn't?).  Sorry, I don't speak Dutch apart from a few words. 

Shame my parents didn't teach me, but there were reasons.

Edited by Mister Fixit
Posted (edited)
On 3/22/2021 at 7:44 AM, Sticky Rice Balls said:

Sounds like a plan---time to send the niece to the movies!...guessing the gel magic gets right into the gums and bloodstream--much like snuff tabacco

 

Actually, you made a good point there about  getting the gel into the gums. 

I haven't  used the gels for some years and I forgot that the best way to make them work more effectively is to hold the gel in your mouth for about a minute, sloshing it under the tongue and also well into the gums with your tongue.

I didn't do that the other night.  I forgot about the above and just squeezed the sachet onto a spoon and took it straight down.  I always take the Kamagra at 7.30 pm though so there should have been plenty of time for it to be in my bloodstream by 10 pm. 

Perhaps I should take it later, maybe its efficacy falls off quicker now that I am older.  I know it should work for about 8 hours, but perhaps not with me any more.

The other thing is that my wife had just finished her period that morning and she did tell me (for the very first time) that she never really feels very sexy for a few days after it finishes.  So perhaps her response  was not that good.  It would seem her hormone levels are still low.

I knew someone like that many years ago but once she got to about 9 or 10 days or about 4 or 5 days before ovulation, she became like a rabbit!  ????

I think I may have to keep a note of her period dates and wait for about a week after they finish.  Trouble is, having waited a week already I am usually raring to go!  

Edited by Mister Fixit
  • Haha 1
Posted
On 3/26/2021 at 1:51 PM, polpott said:

Which is why you get side effects, visual distortion, headaches etc.

 

Cavaject stays in your dick and produces none of the side effects of Viagra. And boy does it work. You can hang your coat on it for 4 hours whether you want to or not.

 

Forget that!  ????

 

But please do tell more I'm interested in how it works.

Posted (edited)
13 hours ago, GarryP said:

It's called performance anxiety and it can induce/cause ED. In fact up to 20 percent of ED cases are of psychological origin. 

 

I am sure that's an element, but as I said in another post, I never worry about it beforehand.  

I think it's something physical, either in me, my wife or both of us.

Edited by Mister Fixit
Posted
2 hours ago, Sticky Rice Balls said:

the lady at the shop told me to give the gel an hour to kick in.....or even less.......maybe get a sport mouth guard and line it with the gel--like a fluoride treatment! ????

Yeah, an hour is plenty of time, after 30-40 minutes things start to stiffen up with some assistance.  I always leave it a bit longer than an hour though.

Posted

Kamagra works fine for me but don't even need half a 100mg tablet

 

Fed up of cutting tablets up 

 

Anyone know where I get 25 30 or 35mg of kamagra? 

 

Online maybe? 

 

Or some similar brand that's similar price  

 

I pay 200 baht for 4 x 100mg tablets in my local pharmacy  

 

Or maybe I should just buy a good razor blade?! 555

Posted (edited)
On 3/22/2021 at 7:44 AM, Sticky Rice Balls said:

Sounds like a plan---time to send the niece to the movies!...guessing the gel magic gets right into the gums and bloodstream--much like snuff tabacco

 

The niece is going back to the family home tonight, so time for some fun!

I was going to try the Grakcu stuff this time to see how it goes, but I have binned the packaging.

What's the usual dose?  I think I saw that you took two - is that the normal dosage?

Let me know as soon as you can, the wife will be back at about 8.30 pm and I have a date with a bed at 9 pm!  ????

Edited by Mister Fixit
  • Like 1
Posted

At 72 maybe you have to accept that your sex days are over.. Certainly if you were married to a 72 year old UK woman it would have finished long ago. You can still have fun without full sex.

  • Like 2
Posted (edited)
2 hours ago, Henryford said:

At 72 maybe you have to accept that your sex days are over.. Certainly if you were married to a 72 year old UK woman it would have finished long ago. You can still have fun without full sex.

Yes, that had sort of occurred to me, like I hadn't thought of that before - I do think I know my own age  ...  ????

But I'm not married to a 72 year old UK woman, I am married to a 51 year old Thai woman, so your analogy doesn't really work.

But don't be so prescriptive - please don't tell me I HAVE accept anything until a qualified medical medical practitioner tells me and not some random poster on an internet forum.

And of course, I know I am not going to be at it morning noon and night at my age, but there's nothing wrong with still trying until it becomes impossible.

I will know more in a few weeks when I get the full hormonal workup which has already been mentioned waaaay upthread, if you have read that far back.

And if you had, you'd know that I no longer make my own testosterone due to a pituitary cyst years ago and need injections. 
There's been quite a discussion about whether the current dosage needs titrating.  Perhaps that will do the trick, who knows?

And thanks for the 'advice' about how to 'do' sex,  but I have been 'doing sex' for 57 years so I do know how to have fun without full sex and often it's more fun.

Edited by Mister Fixit
Posted (edited)
4 hours ago, Sticky Rice Balls said:

ooooooo!!! sorry!! just saw this.....I have only taken HALF OR ONE whole..there was a debate about why i had tablets vs others with capsules(half dose)

I would get the usual flush--heated and the worst part is the heartburn......so to conclude ive only taken 1 whole or less.....Go get em cowboy! Report back! ????

Hubba Hubba..


It's OK, I sorted it.  I just took the usual Kamagra gel and half a tablet 30 minutes later for insurance.   Let's just say that all went well. 

It was a little off-putting because although the niece had gone back home, the wife's bl@@dy daughter turned up to stay the night!  ????  Thai families, eh?

The wife didn't care though and was pretty helpful and enthusiastic so all ended well.

 

I'm not sure I like the sound of the side effects though, but I'll try one of those Grakcu things next time. 

Thanks for the tip or I'd have taken two.  I might keep some Gaviscon by the bed though!  ????

 

 

 

 

 

Edited by Mister Fixit
Posted

My last 2 Chiang Mai GFE were 24 and 31. They were hot, sexy, experienced - thus they really turned me  on.  Last October - when I moved back to Patts - I was mortified by the ubiquitous old gals in  the massage parlors. None of them  understood the importance  of GFE, nor the art  of the slow massage warm up. In short, they didn't turn me on. In fact they bored me half to death - to the point  that Kamagra was  only marginally effective.

 

So,  I am  in  pornhub monk mode until things improve.

French Painter | Portrait of a Monk in Prayer | The Metropolitan Museum of  Art

  • Haha 2
Posted
1 hour ago, Sticky Rice Balls said:

Thats the spirit! its better to burn out than fade away!  Atta Boy! ????

 

Absolutely.  

People who make value judgements on others without knowing them always make me smile, as though what they think is even remotely relevant to another person's life.  

 

My mother lived to 101 (and one day) before she gave up and I intend to try to do the same.  I have inherited her stubbornness and her excellent heart and I ain't going to waste them.

 

Let others more faint of heart give up on themselves and fade away into irrelevant nothingness when they reach a certain age - not me though.  

 

I'm not desperate to be bonking every night, but once a week is a reasonable goal. I had elderly and very sprightly opposite neighbours in the UK many years ago, he was 91, she was 88 and his wife told my ex that they still managed it from time to time.  Game on!  ????

 

 

Posted
On 3/30/2021 at 8:57 AM, Sticky Rice Balls said:

the lady at the shop told me to give the gel an hour to kick in.....or even less.......maybe get a sport mouth guard and line it with the gel--like a fluoride treatment! ????

Hey honey, why are you suddenly wearing day and night a mouth guard?

Well, I'm into rugby now.

89068652-0EB6-40C5-9CE2-AF699423DF40_4_5005_c.jpeg

  • Like 2

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